OptiMed

Basic insurance with a health network

OptiMed insurance model is a cost-effective alternative to standard insurance. It provides access to networks of general practitioners. You choose a doctor from the OptiMed list and consult this doctor first in all medical matters.

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Benefits covered

My advantages

Documents and lists of doctors

Sign up to the insurance

Principles

  • When signing up to the insurance, I choose a general practitioner among the doctors on the OptiMed list.
  • No list is required for children, but you must choose a general practitioner (GP).
  • I consult this doctor first in all medical matters (except in an emergency or in cases specified in the terms and conditions of insurance).
  • This doctor will provide medical care or refer me to the relevant specialist or medical facilities.

COMMENTS

  • I can sign up to the OptiMed model only if I live in one of the following cantons: Aargau, Appenzell (AI/AR), Bern, Basel-Land, Basel-Stadt, Fribourg, Geneva, Graubünden, Luzern, Neuchâtel, St. Gallen, Schaffhausen, Solothurn, Schwyz, Thurgau, Uri, Vaud, Valais, Zug, Zurich.
  • The insurance model is not yet available in the cantons of Glarus, Jura, Nidwalden, Obwalden and Ticino.
  • The list of network doctors can be found in Documents and lists of doctors

DEDUCTIBLES

Available Deductibles

The ordinary deductible is CHF 300 for adults and CHF 0 for children.
I can reduce my premium by increasing my deductible.

Deductibles : Adults and Children
  • Savings: I am able to benefit from an attractive discount.
  • Trust: my general practitioner provides primary care and coordinates follow-up treatment efficiently.
  • Quality: the health networks organise quality and cost-effectiveness circles for member doctors and issue best practice recommendations.

Calculate your insurance premium online

  • Our online offers system allows you to rapidly calculate your premium, without any obligation on your part. If you accept the offer, simply print it out and send us the proposal form duly signed.

  • Calculate my premium in the online offers system

Request advice

  • By phone

  • 0800 808 848 (freephone number)
    08.00 – 18.00 from Monday to Friday, except on public holidays

  • By email

  • Form to request a contact

Health insurers involved

This insurance product is available at the following Groupe Mutuel health insurers:

  • Avenir
  • Philos
  • Mutuel
  • EasySana

Frequently asked questions

What does it mean to choose a Health Network model (OptiMed)?

When you join a health network model, you choose your general practitioner from the list corresponding to the chosen model (OptiMed). You will need to consult this doctor first in the event of a medical problem. If necessary, the doctor will refer you to a suitable specialist.
 
By opting for a health network system, you will benefit from high quality medical care and help to contain rising health costs. This will allow you to benefit from a discount on your insurance premium!

Does basic health insurance cover the costs of nutritional and dietary advice sessions?

The compulsory insurance (AOS/OKP) covers a maximum of six nutritional advice sessions per medical prescription. If additional sessions are required, the prescription can be renewed.

Is health insurance compulsory in Switzerland?

In accordance with Article 3 of the Swiss Federal Health Insurance Law (LAMal/KVG), any person residing in Switzerland is obliged to take out health insurance within three months of birth or taking up residence in Switzerland. If a person does not sign up for insurance, the cantonal or communal authorities will register that person automatically.

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Groupe Mutuel

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